南非一家地区医院患者的人口统计学特征及与自杀行为相关的危险因素。
Demographic profile of patients and risk factors associated with suicidal behaviour in a South African district hospital.
机构信息
Department of Family Medicine, College of Health Science, University of KwaZulu-Natal, Durban.
出版信息
S Afr Fam Pract (2004). 2021 Oct 28;63(1):e1-e7. doi: 10.4102/safp.v63i1.5330.
BACKGROUND
Suicidal behaviour comprises self-destructive thoughts coupled with attempts at suicide, which negatively impacts the patient, family, friends, and their community. There is a paucity of data on factors influencing suicidal thoughts and behaviour in South Africa. The aim of this study was to evaluate demographic profile and risk factors associated with suicidal behaviour.
METHODS
In this retrospective descriptive and observational study, 282 medical records of patients with suicidal behaviour were studied. The risk factors and age at occurrence were tabulated. Descriptive analyses were undertaken to understand how they were distributed across key socio-demographic groups.
RESULTS
Suicidal behaviour was particularly prominent amongst the female population. The suicidal ideation, plan and non-fatal suicide were reported by 48.6%, 29.1% and 36.5%, of patients respectively. The prevalence for suicidal ideation was significantly higher in females (54.5% vs. 31.5%; p 0.0007) but not for suicidal plan (28.7% vs. 30.1%; p 0.81) and suicidal attempt (37.3% vs. 34.2%; p = 0.63) as compared with males. Suicidal behaviour was positively associated with depression (r = 0.56, p 0.001) and negatively associated with age (r = -0.16, p = 0.01). Multivariate logistic regression analysis revealed that suicidal behaviour was influenced by female gender, poor social support, depression and a family history of non-fatal suicide.
CONCLUSION
This research has confirmed an association between female sex and factors associated with a higher risk of suicidal behaviour.
背景
自杀行为包括自杀念头和自杀企图，对患者、家属、朋友及其社区都会产生负面影响。南非关于影响自杀念头和行为的因素的数据很少。本研究旨在评估与自杀行为相关的人口统计学特征和危险因素。
方法
在这项回顾性描述性和观察性研究中，研究了 282 例有自杀行为的患者的病历。列出了危险因素和发生年龄。进行描述性分析，以了解它们在主要社会人口统计学群体中的分布情况。
结果
自杀行为在女性人群中尤为突出。有自杀念头、自杀计划和非致命性自杀的患者分别占 48.6%、29.1%和 36.5%。女性的自杀念头发生率显著高于男性（54.5% vs. 31.5%；p<0.0007），但自杀计划（28.7% vs. 30.1%；p=0.81）和自杀企图（37.3% vs. 34.2%；p=0.63）的发生率则无差异。自杀行为与抑郁呈正相关（r=0.56，p<0.001），与年龄呈负相关（r=-0.16，p=0.01）。多变量逻辑回归分析显示，自杀行为受女性性别、社会支持差、抑郁和非致命性自杀家族史的影响。
结论
本研究证实了女性性别与自杀行为相关的较高风险因素之间存在关联。
Zotero 插件